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Contact Information

GARY W CHANDLER, DPM
809 SW ALSBURY BLVD STE 4
2696 PINNACLE
BURLESON, TX76028-9201
 Phone: 817-295-3799
 Fax: 817-295-4530
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GARY W CHANDLER · (Male)

NPI Number 1144269853
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/06/2006
Last updated 01/15/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 0929
  • TX Medicaid 127206401
  • TX Other 00JD55 BLUE CROSS BLUE SHEILD
  • TX Other 480021805 RAILROAD
Hospital affiliation(s)
  • TEXAS HEALTH HARRIS METHODIST HOSPITAL SOUTHWEST F - (Acute Care)
    6100 HARRIS PKWY
    FORT WORTH, TX 76132
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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